UWSOM FMIG Mentorship Survey-Fall 2020
Are you interested in mentoring a student interested in Family Medicine? Or are you a student interested in being mentored by someone in the field of Family Medicine? The UWSOM Family Medicine Interest Group wants you! Please fill out this survey so that we can pair you with a student or mentor who shares your interests. Mentorship pairs will be matched in January 2021. Time commitment is at the discretion of individual mentor/mentee pairs.
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Name (First Last) *
Email *
Please indicate if you would like to be a mentor, mentee or both! NOTE: MS1s and MS2s are not eligible to be mentors at this time and should select "Mentee" below. *
Currently You Are: *
Where are you located? *
Required
What program are you with? *
What is the best way to connect for you with your mentor/mentee? *
Required
What are your interests within Family Medicine? (select all that apply) *
Required
Unfortunately, we may not be able to match everyone due to discrepancies between the numbers of mentors and mentees. If you are not matched, would you be interested in being included in FMIG emails regarding mentorship activities?
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Additional Comments:
Thank you again for your interest and willingness to participate! We will be reaching out to you shortly. - UWSOM Family Medicine Interest Group
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